Doctor Name: | ASHELY HOPE JACOBSMA |
NPI Number: | 1013312198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4107 |
Business Practice Address: | 6801 N Classen Blvd Oklahoma City, OK - 731167205 |
Business Phone Number: | 4058401335 |
Business Fax Number: | |
Mailing Address: | 6801 N Classen Blvd, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731167205 |
Phone Number: | 4058401335 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |